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Saudi Journal of Kidney Diseases and Transplantation
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Year : 2014  |  Volume : 25  |  Issue : 4  |  Page : 895-899
Recipient characteristics and outcome of pediatric kidney transplantation at the king fahad specialist hospital-dammam

1 Multi Organ Transplant Center, King Fahad Specialist Hospital, Dammam, Saudi Arabia
2 Multi Organ Transplant Center, King Fahad Specialist Hospital, Dammam; College of Medicine, King Saud University, Riyadh, Saudi Arabia

Correspondence Address:
Iftikhar A. R. Khan
Multi Organ Transplant Center, King Fahad Specialist Hospital, P. O. Box 15215, MBC 067, Dammam - 31444
Saudi Arabia
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DOI: 10.4103/1319-2442.135209

PMID: 24969213

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The success of a pediatric kidney transplantation program can only be judged by reviewing its results. We aim to audit our short-term outcome of pediatric kidney transplantation at the King Fahad Specialist Hospital-Dammam. A retrospective chart review was performed to collect data about recipient demographics, etiology of end-stage kidney disease, type of dialysis, type of donor and outcome. Between September 2008 and April 2012, 35 pediatric kidney trans­plantations (<16 year) were performed of a total of 246 kidney transplants (14.2%). The mean age was 8.1 years, with a mean weight of 23.3 kg, and there were 21 (60%) boys in the study. Kidney dysplasia/hypoplasia was the most common etiology (51.4%). Pre-emptive kidney transplantation was performed in six (17%) patients. Peritoneal dialysis was the most common mode of dialysis [24 (69%) children]. Living donation was the source of kidney allografts in 13 (37%) cases. During a mean follow-up of 1.5 years, one patient died and one graft was lost due to kidney vein thrombosis. The one year patient and graft survival rates were 97% and 94%, respectively. Efforts should now be focused on achieving optimal long-term results. There is also a need to encourage pre-emptive transplantation and living donation in this population.

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